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Many studies have clearly reported the advantages of colonoscopy screening in terms of reducing the mortality rate of colorectal cancers in general population. However, the importance of colonoscopy screening in improving the survival rate of kidney transplant recipients is still unclear. So, the aim of this study is to survey the importance and feasibility of colonoscopy screening in kidney transplant recipients.

This clinical study was conducted from February 2015 to November 2016. All participants received polyethylene glycolelectrolyte solution (PEG-ES) or magnesium hydroxide for bowel preparation. Colonoscopy was done and the location and the size of any lesions were recorded in all participants.

Among 247 post-kidney transplant patients who were visited routinely in Labbafi-Nejad Hospital in Tehran, 30 individuals with any signs or symptoms of malignant or non-malignant colorectal diseases and patients who had a colonoscopy during the previous year or had a failed transplant procedure and subsequent return to dialysis were excluded. Finally, 217 kidney transplant recipients were enrolled in this study, of which 121 patients completed the study.

The results of this study, for the first time, confirm the safety and efficiency of colonoscopy as a routine gastrointestinal screening method among post-kidney transplant recipients in Iran, and suggest that it can be highly proficient in detecting gastrointestinal lesions and its implementation is without significant adverse effects in such patients.

Introduction & Reconstruction of the ear is one of the major challenges in plastic and reconstructive surgery. Loss of all or part of the ear causes mood disorders, depression, and loss of self-confidence, anxiety and disturbance in patient's social interactions. Therefore, a study was conducted to determine the Statistical assessment of ear repair in terms of lesion size in patients referring to Center for Plastic Surgery 15 Khordad from July 2010 to December 2013.
This study is a descriptive cross-sectional study. The samples consisted of 126 patients referring to Center for Plastic Surgery 15 Khordad (from July 2010 to January 2013). A special surgical technique was used in each patient regarding the type of injury and ear lesion. Patients after the surgery were followed up to evaluate the effectiveness of the surgical technique. Finally, the data were analyzed using SPSS V .22.
In this study, the greatest cause of ear trauma was accidents with vehicles (39.5% in men, 42.8% in women and 75% in children). Also, the acceptance and satisfaction of patients in ears reimplantation method was significantly higher.
The use of ear replantation method has more advantages compared to other reconstructive methods. Also, the satisfaction and acceptance of patients in the replantation method is much more than other recent techniques.

Introduction & Reductive mammoplasty is one of the most common operations in plastic surgery and inferior pedicle is one of most common techniques. Bottoming out is considered as a long term sequel. Introduced solutions have had satisfactory results. This study wants to present Plication fixation (Pf) as a new technique for minimizing bottoming out. 66 patients who were candidates for inferior pedicle reduction mammoplasty were categorized randomly into simple reduction mammoplasty (as inferior pedicle) and inferior pedicle reduction mammoplasty with plication fixation, and underwent appropriate operation. Parameters like operation time, reduced tissue weight, nipple sense, and frequency of bottoming out, were recorded and analyzed. In group 2 (Pf) pedicle lengths was 10±2.2 cm. Asymmetry reduced from 5 to1. Seruma was seen in a patient. In the first group bottoming out was significantly more than in the second group (Pf). Pedicle has vital role in inferior pedicle reduction mammoplasty as far as blood supply and sensibility is concerned. One of its potential complications is bottoming out, as Plication fixation can reduce it significantly. So it seems that placation fixation with little complications, can lead to more long term results in inferior pedicle reduction mammoplasty.

Breast reduction is one of the most commonly performed plastic surgery procedures. Many approaches to breast reduction have been described, including medial pedicle and inferior pedicle. The aim of this study was to compare the results of medial pedicle mammoplasty method with inferior pedicle mammoplasty.
Thirty-three consecutive patients who had undergone medial pedicle mammoplasty at 15 khordad hospital were compared with 33 inferior pedicle mammoplasty. Patients age, breast resection weight, surgery length, the average distance from the sternal notch to the breast nipples, complication rate including bottoming out, need for re-operation, request for surgical site scar removal, breast contour, breast symmetry, nipple and areolar sensation, the frequency of complications, nipple-areolar complex necrosis and patients’ satisfaction from scar length and overall patients’ satisfaction were assessed.
Mean age was comparable in both groups. In medial pedicle, the surgery length (177.73±20.16 min vs. 221.06±26.77, P=0.01) and resected breast weight (respectively, 454.24±91.57 vs. 900.91±401.28 gr in the right side and 446.67±82.87 vs. 904.24±407.88 gr in the left side) and the average distance from the sternal notch to the breast nipples (29.09±3.37 vs. 35.33±3.36 cm, P=0.01) were significantly lower compared to inferior pedicle group. Yet, the frequency of bottoming out was significantly higher (30.3% vs. 0%, p=0.01) and the patients satisfaction from scar length was lower (54.5% vs. 87.9%, p=0. 003) in the medial pedicle group. There were no significant difference between the need for re-operation, request for surgical site scar removal, breast contour, breast symmetry, nipple and areolar sensation, the frequency of complications, nipple-areolar complex necrosis and patients’ satisfaction.
The results of the present study showed that, although the resected breast weight was lower in medial pedicle mammoplasty, the length of surgery was shorter and better results regarding aesthetic point of view and higher patients’ satisfaction are achieved.

Laparoscopic techniques for the placement of peritoneal dialysis catheters are becoming increasingly popular. Recently, with the improvements in laparoscopic surgery, various methods for the insertion of peritoneal dialysis catheters have been reported, indicating that the laparoscopic insertion is preferred over the open and percutaneous techniques. The aim of this study was to introduce and assess a simplified laparoscopic method for the insertion of peritoneal dialysis catheters in continuous ambulatory peritoneal dialysis (CAPD) patients. We enrolled 79 consecutive end-stage renal patients (46 men and 33 women) with a mean age of 50 years (range: 19-83 years) in this study.